title: Balloon mitral valvuloplasty with bifoil catheter: immediate and long-term follow-up results.
abstract: This report documents clinical and hemodynamic benefits of balloon mitral valvuloplasty (BMV) using a bifoil balloon catheter from a single center in 415 consecutive cases of rheumatic mitral stenosis (MS). The procedure was successful in 396 (95.2%) patients, with an increase in mitral valve area (MVA) from 0.82+/-0.35 cm2 to 2.21+/-0.24 cm2 (P < 0.001). There were 2 (0.48%) in-hospital deaths, and 6 (1.44%) patients developed acute mitral regurgitation. The procedural and fluroscopy time was reduced significantly from 52+/-11 and 38+/-6 min to 33+/-7 and 19+/-5 min, respectively, after modifications of technique in our last 326 cases. The bifoil balloon catheter technique is safe and effective, and provides excellent hemodynamic benefits which are sustained at long-term follow-up. This technique should be considered as an addition to the existing armamentarium of interventional cardiologists performing mitral balloon valvuloplasty.
authors.affiliation: Apollo Heart Institute, Apollo Hospital, Hyderabad, Andhra Pradesh, India.
authors.forename: P C
authors.initials: PC
authors.lastname: Rath
authors.forename: M P
authors.initials: MP
authors.lastname: Tripathy
authors.forename: N K
authors.initials: NK
authors.lastname: Das
authors.forename: P S
authors.initials: PS
authors.lastname: Rao
authors.forename: T
authors.initials: T
authors.lastname: Deb
authors.forename: K S
authors.initials: KS
authors.lastname: Chandra
authors.forename: S
authors.initials: S
authors.lastname: Agarwal
authors.forename: V
authors.initials: V
authors.lastname: Dikshit
authors.forename: B S
authors.initials: BS
authors.lastname: Reddy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002305:Cardiac Tamponade / Q000209:etiology; D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D008946:Mitral Valve Stenosis / Q000209:etiology / Q000628:therapy; D012214:Rheumatic Heart Disease / Q000150:complications